Please fill out this form, which will be emailed to ross@17palmskauai.com
or call 17 Palms Kauai at 808-246-6799 or toll free at 1-888-PALMS-99
to confirm.

2.

After you have either verbal or
written confirmation from us that we received your message
you may mail your rental deposit check (sorry, we
do not accept credit cards). We will hold your dates
for 5 days, pending receipt of your check.

Please make checks payable to:
17 Palms Kauai

Mail to:
Ross Martineau
PO Box 662024
Lihue, HI 96766-7024

3.

As
soon as we receive your payment, we will email you directions
to the house, the lockbox combination and any other relevant
information.

Arrival Date
(check-in after 3:00 pm):

Flight Arrival
Time:

Departure Date
(check-out by 10:00 am):

Number of Nights:

Number of people
in your party:

First Name:

Last Name:

Mailing Address:

City, State,
Zip:

Country:

Day Telephone:

(with area code)

Night Telephone:

(with area code)

Fax:

(with
area code)

Email:

Special Requests:

How Did You Hear
About Us?:

THIS IS A NON-SMOKING HOUSE: Please respect
this requirement.

CHECK-IN is at 3:00 P.M. and CHECK-OUT
is at 10:00 A.M. Local phone calls are free. Long distance calls
are by credit card or collect.

We also ask everyone to respect the
honored Hawaiian tradition of always REMOVING SHOES
while in the house.

All rates are subject to change without
notice

We make every effort to ensure that
all equipment is in working order and that the surrounding environment
is as pleasing as possible. In the event of an equipment breakdown,
we will strive to repair it as soon as possible after being notified
of a problem. We cannot guarantee that televisions, appliances,
etc. will not break down during your stay (especially with the
unrelenting salt air) and therefore, no refunds or adjustments
can be made for mechanical failure. We cannot take responsibility
for any other unexpected situations beyond our control such as
power outages, insects, roosters, weather, nearby construction
and the like.